Willis, Wendy I

Willis, Wendy I is an individual health care provider with primary practice located at 229 W Spring St , New Albany IN 47150-3641. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Willis, Wendy I can be contacted via phone (812) 206-3291.

Contact Information

Primary practice address
229 W Spring St New Albany IN 47150-3641
Phone: (812) 206-3291
Fax: (812) 206-3296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 34004562 Indiana
Behavioral Health & Social Service Providers / Social Worker 104100000X 1650 Kentucky

Profile Details

NPI number 1477559334
LBN Legal business name Willis, Wendy I
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477559334 NPPES
Kentucky MEDICAID 8200051400
Kentucky Other 160860U

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